Insurance
- Insurance bill estimation
- Generation of Preauthorization forms
- Registering OP / IP patients with Insurance Company and TPA details
- Capturing Pre-authorization amount and the way pre-authorization is received
- Capturing Insurance card image in registration
- Edit / Change Insurance company details and Pre-auth approval amount from Billing/Registration
- Automatic Calculation of Rates for different Insurance Plans
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Facility to split the item amount into the Insurance and Patient co-pay
- Advance/Refund option for patient payments
- Sending the claims to TPA's as Single Claim / Claim Batch
- Facility to mail the clinical and supportive documents through mail directly from Patient Medical Records to TPA's
- Tracking the Payments / Dues from TPA's using Reports
- Facility to record receipts from insurance/corporate sponsors using Claim Batch number or individual claim number with TDS preferences
- Pending Age Reports analysis to increase efficiency.
- Audit Log